<template>
    <div>

        

   
        <!-- <div class="header clearfix">
            <div class="nav">
                <ul>
                    <li>患者</li>
                    <li>咨询</li>
                </ul>
            </div>
            <div class="fast-search-box">
                <input class="fast-search" type="text" placeholder="快速搜索...">
            </div>
        </div> -->
        <div class="content">
            <div class="pantient-message-container">
                <h1 class="pantient-message">待生成患者信息</h1>
            </div>
            <div class="am-form mian-table create-patient-message">
                <div class="form-hd">
                    <ul class="patient-message-fill-list message-nav">
                        <li class="item">患者资料</li>
                        <li class="item">家长资料</li>
                        <li class="item">临床信息</li>
                        <li class="item">患者封面照</li>
                        <li class="item">照片</li>
                        <li class="item">x光</li>
                        <li class="item">口扫数据</li>
                    </ul>
                </div>
                <div class="message-table-container">
                    <div class="message-table-tbody">
                        <form class="table-data patient-data" data-index="0">
                            <div class="am-form-inline .patient-name">
                                <div class="item-hd">患者姓名</div>
                                <div class="item-box">
                                    <input type="text" id="doc-ipt-first-name">
                                </div>
                                <!-- <div class="am-form-group">
                                    <label for="doc-ipt-last-name" class="requested-fill">姓名</label>
                                    <input type="text" id="doc-ipt-last-name">
                                </div> -->
                            </div>
                            <div class="am-form-group am-form-select patient-sex">
                                <div class="item-hd">患者性别</div>
                                <div class="item-box">
                                    <select class="am-input-sm">
                                        <option value="male">男</option>
                                        <option value="female">女</option>
                                    </select>
                                </div>
                            </div>
                            <div class="am-form-inline">
                                <div class="item-hd">出生日期</div>
                                <div class="am-form-icon item-box">
                                    <i class="am-icon-calendar"></i>
                                    <!-- <input type="text" class="am-form-field" data-am-datepicker="{format: 'yyyy-mm-dd', viewMode: 'years', minViewMode: 'days'}"
                                        placeholder="点击填写" data-am-datepicker readonly /> -->
                                </div>
                            </div>
                            <div class="am-form-group am-form-select">
                                <div class="item-hd">患者依从性预测</div>
                                <div class="item-box">
                                    <select class="am-input-sm">
                                        <option value="良好">良好</option>
                                        <option value="优">优</option>
                                        <option value="差">差</option>
                                    </select>
                                </div>
                            </div>
                            <div class="am-form-inline am-form-select">
                                <div class="am-form-group">
                                    <div class="item-hd">身高增长块</div>
                                    <select class="am-input-sm">
                                        <option value="快">快</option>
                                        <option value="一般">一般</option>
                                        <option value="慢">慢</option>
                                    </select>
                                </div>
                                <div class="am-form-group">
                                    <div class="item-hd">胡须</div>
                                    <select class="am-input-sm">
                                        <option value="无">无</option>
                                        <option value="有">有</option>
                                    </select>
                                </div>
                                <div class="am-form-group">
                                    <div class="item-hd">喉结</div>
                                    <select class="am-input-sm">
                                        <option value="无">无</option>
                                        <option value="有">有</option>
                                    </select>
                                </div>
                            </div>
                        </form>

                        <form class="table-data guarder-data" data-index="1">
                            <div class="form-hd">
                                家长基本信息
                            </div>
                            <div class="am-form-inline">
                                <div class="am-form-group">
                                    <div class="item-hd">家长姓名</div>
                                    <input type="text">
                                </div>
                                <div class="am-form-group">
                                    <div class="item-hd">家长关系</div>
                                    <input type="text">
                                </div>
                                <div class="am-form-group">
                                    <div class="item-hd">家长职业</div>
                                    <input type="text">
                                </div>
                                <div class="am-form-group">
                                    <div class="item-hd">家长联系方式</div>
                                    <input type="text">
                                </div>
                            </div>
                            <div class="am-form-inline">
                                <div class="am-form-group">
                                    <div class="item-hd">家长姓名</div>
                                    <input type="text">
                                </div>
                                <div class="am-form-group">
                                    <div class="item-hd">家长关系</div>
                                    <input type="text">
                                </div>
                                <div class="am-form-group">
                                    <div class="item-hd">家长职业</div>
                                    <input type="text">
                                </div>
                                <div class="am-form-group">
                                    <div class="item-hd">家长联系方式</div>
                                    <input type="text">
                                </div>
                            </div>
                            <div class="am-form-group am-form-select">
                                <div class="item-hd">家长正畸史</div>
                                <div class="item-box">
                                    <select class="am-input-sm">
                                        <option value="0">无</option>
                                        <option value="1">有</option>
                                    </select>
                                </div>
                            </div>
                        </form>

                        <form class="table-data clinical-data" data-index="2">
                            <div class="form-hd">主诉信息 : </div>
                            <div class="patient-suit-box am-form-group">
                                <div class="item-hd required">患者信息 : </div>
                                <textarea  id="text1" rows="5" cols="" placeholder="(例如: 上前牙前突4年要求治疗)" > </textarea>
                            </div>
                            <div class="form-hd">现病史/既往史</div>
                            <div class="am-form-group">
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd required">鼻咽部疾病 : </div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_bybjb" class="checkacc"
                                                    value="有">有
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_bybjb" class="checkacc"
                                                    value="无">无
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd required">治疗动机</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_zldj" class="checkacc"
                                                    value="父母意愿">父母意愿
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_zldj" class="checkacc"
                                                    value="自身愿意">自身愿意
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd required">过敏史</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_gms" class="checkacc"
                                                    value="有">有
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_gms" class="checkacc"
                                                    value="无">无
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_gms" class="checkacc"
                                                    value="其他">其他
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd required">全身疾病 : </div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_qsbs" class="checkacc"
                                                    value="有">有
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_qsbs" class="checkacc"
                                                    value="无">无
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd required">喂养方式</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_wyfs" class="checkacc"
                                                    value="母乳">母乳
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_wyfss" class="checkacc"
                                                    value="奶瓶">奶瓶
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_wyfss" class="checkacc"
                                                    value="混合">混合
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd required"></div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_jzycs" class="checkacc"
                                                    value="反颌">反颌
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_jzycs" class="checkacc"
                                                    value="小下颌畸形（鹰嘴）">小下颌畸形（鹰嘴）
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_jzycs" class="checkacc"
                                                    value="其他"> 其他
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd required">不良习惯</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_blxg" class="checkacc"
                                                    value="无">无
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_blxg" class="checkacc"
                                                    value="打鼾">打鼾
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_blxg" class="checkacc"
                                                    value="吮指">吮指
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_blxg" class="checkacc"
                                                    value="咬物">咬物
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_history_blxg" class="checkacc"
                                                    value="吮颊">吮颊
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">不良习惯发现及持续时间</div>
                                        <textarea rows="5" cols="" placeholder="（例如：请描述不良习惯发现及持续时间）"></textarea>
                                    </div>
                                </div>
                            </div>
                            <div class="form-hd">面部检查</div>
                            <div class="am-form-group">
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">正面观 ：</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_zm" class="checkacc" value="左右基本对称">左右基本对称
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_zm" class="checkacc" value="左右不对称">左右不对称
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">侧貌</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_cm" class="checkacc" value="直">直
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_cm" class="checkacc" value="凹">凹
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_cm" class="checkacc" value="凸">凸
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">上唇</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_sc" class="checkacc" value="正常">正常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_sc" class="checkacc" value="过短">
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">鼻唇沟</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_bcg" class="checkacc" value="锐角">锐角
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_bcg" class="checkacc" value="钝角">钝角
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">唇肌</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_cj" class="checkacc" value="正常">正常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_cj" class="checkacc" value="紧张">紧张
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">颏肌</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_kj" class="checkacc" value="正常">正常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_kj" class="checkacc" value="紧张">紧张
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">下颌骨</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_xhg" class="checkacc" value="正常">正常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_xhg" class="checkacc" value="左偏">左偏
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_xhg" class="checkacc" value="右偏">右偏
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">呼吸方式</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_hxfs" class="checkacc" value="鼻呼吸">鼻呼吸
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_hxfs" class="checkacc" value="口呼吸">口呼吸
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">吞咽方式</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_tyfs" class="checkacc" value="正常">正常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_face_tyfs" class="checkacc" value="婴儿式吞咽">婴儿式吞咽
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="form-hd">口内软组织及功能检查</div>
                            <div class="am-form-group">
                                <div class="item-list">
                                    <div class="item clearfix">
                                        <div class="col-sm-4">
                                            <div class="item-hd">开口度</div>
                                            <input type="text">
                                        </div>
                                        <div class="col-sm-4">
                                            <div class="item-hd">开口型</div>
                                            <input type="text">
                                        </div>
                                        <div class="col-sm-4">
                                            <div class="item-hd">闭口型</div>
                                            <input type="text">
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">关节弹响</div>
                                        <div class="item-content middle">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_gjxd" class="checkacc"
                                                    value="无">无
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_gjxd" class="checkacc"
                                                    value="左有">左有
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_gjxd" class="checkacc"
                                                    value="右有">右有
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_gjxd" class="checkacc"
                                                    value="左右有">左右有
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">颞下颌关节</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_nxgj" class="checkacc"
                                                    value="正常">正常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_nxgj" class="checkacc"
                                                    value="左异常">左异常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_nxgj" class="checkacc"
                                                    value="右异常">右异常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_nxgj" class="checkacc"
                                                    value="左右都异常">左右都异常
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">颌干扰</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_hgr" class="checkacc"
                                                    value="无">无
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_hgr" class="checkacc"
                                                    value="有">有
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">舌体大小</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_stdx" class="checkacc"
                                                    value="正常">正常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_stdx" class="checkacc"
                                                    value="大">大
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_stdx" class="checkacc"
                                                    value="齿痕">齿痕
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">舌体位置</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_stwz" class="checkacc"
                                                    value="正常">正常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_stwz" class="checkacc"
                                                    value="偏前">偏前
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_stwz" class="checkacc"
                                                    value="偏下">偏下
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">唇系带附着</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_cxfz" class="checkacc"
                                                    value="正常">正常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_cxfz" class="checkacc"
                                                    value="低">低
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">舌系带</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_sxd" class="checkacc"
                                                    value="正常">正常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_sxd" class="checkacc"
                                                    value="低">短
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">扁桃体</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_btt" class="checkacc"
                                                    value="Ⅰ">Ⅰ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_btt" class="checkacc"
                                                    value="Ⅱ">Ⅱ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_btt" class="checkacc"
                                                    value="Ⅲ"> Ⅲ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_btt" class="checkacc"
                                                    value="正常">正常
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">其他</div>
                                        <input type="text" name="messageMap_mouthInner_qt">
                                    </div>
                                </div>
                            </div>
                            <div class="form-hd">错颌畸形检查</div>
                            <div class="am-form-group">
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">锁合牙</div>
                                        <input type="text" name="messageMap_malformationCheck_shy" />
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">扭转牙</div>
                                        <input type="text" name="messageMap_malformationCheck_nzy" />
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">融合牙</div>
                                        <input type="text" name="messageMap_malformationCheck_rhy" />
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">畸形中央尖</div>
                                        <input type="text" name="messageMap_malformationCheck_jxzyj" />
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">乳牙缺失牙</div>
                                        <input type="text" name="messageMap_malformationCheck_ryqsy" />
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">先天恒牙胚缺失</div>
                                        <input type="text" name="messageMap_malformationCheck_xthyqs" />
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">多生牙</div>
                                        <input type="text" name="messageMap_malformationCheck_dsy" />
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">牙尖发育异常牙</div>
                                        <input type="text" name="messageMap_malformationCheck_yjycy" />
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">咬上颌腭部黏膜</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_malformationCheck_ysheb" class="checkacc"
                                                    value="是">是
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_malformationCheck_ysheb" class="checkacc"
                                                    value="否">否
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">牙周炎</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_malformationCheck_yzyz" class="checkacc"
                                                    value="有">有
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_malformationCheck_yzyz" class="checkacc"
                                                    value="无">无
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">冠根比≤1的牙</div>
                                        <input type="text" />
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">反颌下颌可退至切对切：</div>
                                        <div class="item-content middle">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_malformationCheck_fhqdq" class="checkacc"
                                                    value="是">是
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_malformationCheck_fhqdq" class="checkacc"
                                                    value="否">否
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">上颌牙弓</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_malformationCheck_shyg" class="checkacc"
                                                    value="正常">正常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_malformationCheck_shyg" class="checkacc"
                                                    value="狭窄">狭窄
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">下颌牙弓</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_malformationCheck_xhyg" class="checkacc"
                                                    value="正常">正常
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_malformationCheck_xhyg" class="checkacc"
                                                    value="狭窄">狭窄
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">磨牙关系左</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_mygxz" class="checkacc"
                                                    value="Ⅰ">Ⅰ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_mygxz" class="checkacc"
                                                    value="Ⅱ">Ⅱ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_mygxz" class="checkacc"
                                                    value="Ⅲ"> Ⅲ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_mygxz" class="checkacc"
                                                    value="无法确定">无法确定
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">磨牙关系右</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_mygxy" class="checkacc"
                                                    value="Ⅰ">Ⅰ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_mygxy" class="checkacc"
                                                    value="Ⅱ">Ⅱ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_mygxy" class="checkacc"
                                                    value="Ⅲ"> Ⅲ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_mygxy" class="checkacc"
                                                    value="无法确定">无法确定
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">牙尖关系左</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_yjgxz" class="checkacc"
                                                    value="Ⅰ">Ⅰ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_yjgxz" class="checkacc"
                                                    value="Ⅱ">Ⅱ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_yjgxz" class="checkacc"
                                                    value="Ⅲ"> Ⅲ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_yjgxz" class="checkacc"
                                                    value="无法确定">无法确定
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">牙尖关系右</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_yjgxy" class="checkacc"
                                                    value="Ⅰ">Ⅰ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_yjgxy" class="checkacc"
                                                    value="Ⅱ">Ⅱ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_yjgxy" class="checkacc"
                                                    value="Ⅲ"> Ⅲ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_yjgxy" class="checkacc"
                                                    value="无法确定">无法确定
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">前牙覆颌</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_qyfh" class="checkacc"
                                                    value="Ⅰ">Ⅰ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_qyfh" class="checkacc"
                                                    value="Ⅱ">Ⅱ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_qyfh" class="checkacc"
                                                    value="Ⅲ"> Ⅲ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_qyfh" class="checkacc"
                                                    value="无法确定">无法确定
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">前牙覆颌</div>
                                        <div class="item-content">
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_qyfg" class="checkacc"
                                                    value="Ⅰ">Ⅰ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_qyfg" class="checkacc"
                                                    value="Ⅱ">Ⅱ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_qyfg" class="checkacc"
                                                    value="Ⅲ"> Ⅲ
                                                <span></span>
                                            </label>
                                            <label class="m-radio">
                                                <input type="radio" name="messageMap_mouthInner_qyfg" class="checkacc"
                                                    value="无法确定">无法确定
                                                <span></span>
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">

                                    </div>
                                </div>
                            </div>
                            <div class="form-hd">特殊检查</div>
                            <div class="am-form-group">
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">CBCT线检查日期</div>
                                        <input type="text" name="messageMap_specialCheck_cbsq" />
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">CBCT线检查日期</div>
                                        <input type="text" name="messageMap_specialCheck_cbzd" />
                                    </div>
                                </div>
                                <div class="item-list">
                                    <div class="item">
                                        <div class="item-hd">颞颌关节检查日期</div>
                                        <input type="text" name="messageMap_specialCheck_nhsq" />
                                    </div>
                                    <div class="item">
                                        <div class="item-hd">颞颌关节检查诊断</div>
                                        <input type="text" name="messageMap_specialCheck_nhzd" />
                                    </div>
                                </div>
                            </div>
                            <div class="form-hd">医生诉求及设计思路</div>
                            <div class="am-form-group">
                                <textarea rows="5" cols="" name="messageMap_specialCheck_appeal" placeholder="例如: 医生需要***"></textarea>
                            </div>

                        </form>

                    </div>






                </div>
                <div class="form-foot clearfix">
                    <div class="ch">
                        <div class="next-step"  @click="getinfo()" > 下一步</div>
                        <div class="pre-step">上一步</div>
                    </div>
                </div>
            </div>
        </div>








    </div>
</template>

<script>
export default {

    data(){
        return  {

        }
    },
    methods:{
        getinfo(){
            alert("点击了")
          _text1 = document.getElementById("text1") ;
            if(_text1.value.length == 0 ){
                alert("请填写完整必填信息");
                
            }
        }
    }

}
</script>

<style>
  @import    "../css/mian.css"  ;
  @import "../css/addpatient.css"   ;

</style>
